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 Order Form: 14K GF Name Necklace

14K GF Necklace with 18in Scroll Chain

Name on Necklace*  
 
   
Chain Length  
The standard length for the chain is 18 inches. We can shorten it if this is a gift for a child.
Shorten chain? No Yes
   
Billing Address
Name:*
 
Address:*
 
City:*
 
State:*
 
Zip:*
 
Country:*
 
Telephone:*
 
Email:
 
     
Shipping Address (if different from Billing Address)  
Name:
 
Address:
 
City:
 
State:
 
Zip:
 
Country:
 
Telephone:
 
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Shipping Method    
We offer USPS Priority Mail for $6.00 (standard delivery is 2-3 working days) and USPS Overnight Mail for $17.00.  
Please choose:  
     
Total Price:  
(Total Price = Necklace Price + Shipping Cost)  
     
Credit Card Information  
Card Type:*  
Card Number:*  
Expiration:* Mo: Year:  
Name on Card:*  
     
(Note: The charge to your credit card will say Simones Accessories, Seaside Heights, NJ.)  
     
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